Odagiri S, Tokunaga H, Ishikura Y, Yoshimatsu H
Department of Thoracic and Cardiovascular Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Jpn J Surg. 1988 Sep;18(5):601-5. doi: 10.1007/BF02471497.
Isolated aneurysms of the common iliac artery occur less frequently than abdominal aortic aneurysms. Moreover, the rupture of an isolated iliac aneurysm into a systemic vein is considered to be very rare. The case reported herein is of a patient with a left common iliac aneurysm which ruptured into the iliac vein, who was successfully treated surgically, using Doty's autotransfusion technique as a supportive measure. We describe our preoperative diagnosis, operative method, including the supportive measures, and the postoperative hemodynamic changes monitored by a Swan-Ganz catheter.
孤立性髂总动脉瘤的发生频率低于腹主动脉瘤。此外,孤立性髂动脉瘤破裂入体静脉被认为极为罕见。本文报道的病例是一名左髂总动脉瘤破裂入髂静脉的患者,采用多蒂自体输血技术作为支持措施,成功接受了手术治疗。我们描述了术前诊断、手术方法(包括支持措施)以及通过 Swan-Ganz 导管监测的术后血流动力学变化。